EFTA00298499.pdf

MONDAY, DECEMBER 7, 2O15 HONORING MICHAEL BRODMAN, MD WITH SPECIAL THANKS TO EMILY BLAVATNIK MANDARIN ORIENTAL, NEW YORK CITY I/WE WISH TO RESERVE THE FOLLOWING: O ONE PLACE TABLE(S) AT $100,000 (10tickets) Priority seating, special recognition during the evening, listing in the printed program, and listing on O ONE MISSION TABLE(S) AT $50,000 (10 tickets) Premium seating, special recognition during the evening, listing in the printed program, and listing on O ONE TEAM TABLE(S) AT $25,000 (10 tickets) Prime seating, listing in the printed program, and listing on - O ONE PURPOSE TABLE(S) AT $15,000 (10 tickets) (limited availability) Listing in the printed program and listing on O ONE ROOF SINGLE TICKET(S) AT $2,500 EACH Seating for dinner and listing in the printed program. O ONE INDIVIDUAL SINGLE TICKET(S) AT $1,500 EACH Seating for dinner and listing in the printed program. O I am unable to attend but wish to make a tax deductible contribution of $ O This gift is in honor of (Please list name and/or company above as you wish it to appear in print) NAME COMPANY ADDRESS CITY STATE ZIP E-MAIL PHONE FAX Please make checks payable to and return to Event Associates, Inc., Each table is tax-deductible less $2,750 and each ticket is tax-deductible less $275. IRS regulations do not permit us to accept payments from donor advised funds, or from other entities that expressly forbid the use of their funds for purchasing event tickets, tables or auction items. We are not able to split the costs of such transactions between items that are tax-deductible and those that are not tax-deductible. If you have any questions about your purchase, please do not hesitate to contact us. For further information, please contact Debbie Fife or Emily Kline: Phone: E-mail: To learn more about the please visit our website at www.dubinbreasteenter.org or call If you wish to have your name removed from our distribution list of fundraising materials, please contact us at EFTA00298499